<#include "../common/_layout.html"/>
<@layout>
<div class="am-g">
    <div class="am-u-lg-6 am-u-md-8 am-u-sm-centered">
        <form class="am-form" action="${CONTEXT_PATH}/member/save"   method='post'>

            <fieldset>
                <legend>信息核实</legend>

                <div class="am-form-group">
                    <label>姓名</label>
                    <input type='text' name='userinfo.realname'  value='' />
                </div>

                <div class="am-form-group">
                    <label>联系电话</label>
                    <input type='text' name='userinfo.mobile'  value=''  />
                </div>
                <input type='hidden' name='userinfo.username'  value='${(username)!}'   />
                <p><button type="submit" class="am-btn am-btn-default">提交</button></p>
            </fieldset>

        </form>

    </div>
</div>
</@layout>
